Read the application carefully and answer each question completely. If you have any questions
about completing this application, you can call (605) 773-4766, toll-free 1-800-227-3020, or
If your provider is not registered or licensed, they must be pre-approved by Child Protection
Services before we can issue any payments to that provider. Contact your child’s social worker
prior to making arrangements for non-regulated care.
If you need to locate a registered or licensed child care provider,
Child care providers will bill directly to Child Care Services for reimbursement. If your
provider charges more than Child Care can pay, please contact your Child Protection Social
Worker for additional options.
Complete for each foster child in your care.
You must include an offical school schedule for each adult family member attending school
Complete the following section for each place of employment for every adult in the household.
Fill out the following information for each child in child care.
If your provider is an in-home or informal provider, he/she
must be pre-approved by Child Protection Services before we
can process your application. Contact your child’s social
worker prior to making arrangements for in-home or informal
If you have more than one child care provider, please fill
out the following information for each of them.